| NPI | 1316314990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123459) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2021-08-12 |